SI-MNH> 
' 6 ^ 23-67 
PMS LABORATORY FORM 
Species Aa±A 
Number 
Dates 
: processed ,, collected _ _ _^L t_ _ F/ClF _ 
Locality 
SJ 
JL 
S' 
*> 'Jt f Jp 
Sex (d^ s ecdonJ ^plumage y soft parts _ P- jri J ) 
Age 
plumage soft parts ) 
lStl-1. Fat Molt 
Weight Fat . 
skelton 
Disposition: 
alcoholic discard) Preparator: 
Ectoparasite Exam: Visual . Other 
Ectoparasites 
Ectoparasite Virus Report 
Blood Sample: Single Pool 
Plasma Analysis Tests: VI 
Plasma Virus Report. VI: Negative Positive 
HI 
HI 
HI 
N: 
Blood Smear stain (s) 
Blood Smear Results 
Remarks * 
HI N 
Virus 
